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- A client is in the first hour of her recovery after a vaginal birth. During an assessment, the lochia is moderate to heavy, bright red, and is tricking from the vagina. The nurse located the fundus at the umbilicus: it is firm and midline, with no palpable bladder. The client’s vital signs remain at their baseline. Based on the information, the nurse would implement which of the following actions? Document the findings as normal Increase IV rate Recheck the admission hematocrit and hemoglobin levels Report the findings to the healthcare providerWhat questions should be asked when conducting nursing health history when assessing the Female Genitalia and Rectum? a. History of Present Health Concern b. Personal Health History c. Lifestyle and Health Practicesnote that matches each definition below Chart Note PATIENT NAME: Thomas, Richard MR NUMBER: 551682 EXAMINATION DATE: August 29, 20xx SUBJECTIVE Patient complains of scrotal and genital pain. There is also dysuria often associated with purulent discharge. OBJECTIVE Richard is a sexually active 20-year-old male, who by his own admission, does not routinely use a condom. Physical exam reveals small, palpable lump on the lateral aspect of his left testis. ASSESSMENT Evaluate for gonorrhea. PLAN Culture test for gonorrhea.
- Briefly describe the variety of disorders affecting women’s health and the drugs used to treat themThe nurse is assessing a client with suspected endometriosis. Which of the following findings would support a diagnosis of endometriosis? Dyspareunia Hot flashes Weight gain AmenorrheaA client in the early stages of labour who was admitted to the labour unit with reports of ruptured membranes is being attended to by a nurse. During a vaginal check, the nurse notices that the foetal heart rate drops from 150 beats per minute to 110 beats per minute. A pulse near the cervix is noted by the nurse. Which of these tasks should the nurse carry out first? A. Push the cord back into the cervical os B. Prepare the woman for immediate vaginal birth C. Place the client in the supine position D. Insert a gloved hand into the vagina to lift the presenting part off of the cord.?
- A client is scheduled for discharge 3 days post - cesarean delivery . The nurse enters to find her crying and with no obvious evidence of a physical problem . The nurse should : a. Say , "You seem upset . Would you like to talk about it ?" b. Leave her alone and let her collect her emotions c. Say , "This is just postpartum blues and they will go away in a few days ." d. Say , "Can I call your minister for you ? "Case Scenario Jennielyn, 30-year-old is a G5P4 at 38 weeks’ gestation delivers vaginally with a midline episiotomy. Upon arrival to the postpartum unit, her pad and bed linens are saturated with blood. You palpate her fundus and find that it is sift and boggy. GUIDE QUESTIONS: What initial nursing interventions can you provide to the client? Briefly , provide the rationale. What drugs do you think would be administered to Jennielyn? Explain the mechanism of action and nursing consideration in giving of this drug.State ten (10) post-operative nursing care interventions with rationales for the client who will be discharged with a colostomy.
- When teaching a patient who is taking oral contraceptive therapy for the first time, the nurse relates that adverse effects may include which of the following? a )Dizzinessb )Nauseac )Tingling in the extremitiesd )PolyuriaA pregnant woman is receiving an epidural analgesic priorto delivery. The nurse provides vigilant monitoring of thispatient to prevent the occurrence of:a. Pruritusb. Urinary retentionc. Vomitingd. Respiratory depressionYour 30-year old patient reports having several recent experiences of unprotected sex and reports genital itching and discharge. What condition(s) might you suspect? What are risk factors for this condition? What further assessment should be performed? What patient education would you provide if your suspected diagnosis is confirmed?